CAJ | 학술논문

目的分析胰体尾切除术后胰瘘发生的危险因素.方法回顾性分析2006年1月至2013年6月宁波市医疗中心李惠利医院125例行胰体尾切除术患者的临床资料.结果 125例行胰体尾切除的患者中,胰瘘是最常见的手术并发症(43/125,34.4％),其中A级27例,B级16例,C级0例.多因素分析结果提示胰腺的质地及主胰管是否结扎是影响胰瘘的独立危险因素(均P＜0.05).结论胰瘘是胰体尾切除术后最常见的手术并发症,其中胰腺的质地、是否结扎主胰管是发生胰瘘的主要危险因素.
목적 분석이체미절제술후이루발생적위험인소.방법 회고성분석2006년1월지2013년6월저파시의료중심리혜리의원125례행이체미절제술환자적림상자료.결과 125례행이체미절제적환자중,이루시최상견적수술병발증(43/125,34.4％),기중A급27례,B급16례,C급0례.다인소분석결과제시이선적질지급주이관시부결찰시영향이루적독립위험인소(균P＜0.05).결론 이루시이체미절제술후최상견적수술병발증,기중이선적질지、시부결찰주이관시발생이루적주요위험인소.
Objective To find the potential risk factors for pancreatic fistula after distal pancreatectomy.Methods Clinical data of 125 cases of consecutive distal pancreatectomy in Ningbo Lihuili Hospital from January 2006 to June 2013 were retrospectively analyzed.Results In all the 125 patients with distal pancreatectomy,pancreatic fistula was the most common surgical complication (43/125,34.4％),including 27 cases of grade A fistula,16 cases of grade B pancreatic fistula.Multivariate analysis showed that the texture of the pancreas and main pancreatic duct ligation were the independent risk factors for pancreatic fistula (all P ＜ 0.05).Conclusions Pancreatic fistula was the most common surgical complication of distal pancreatectomy.The texture of the pancreas and main pancreatic duct ligation effect the occurrence of postoperative pancreatic fistula.